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Quest for Quality KPHA Pre-Conference September 20,2011

Quest for Quality KPHA Pre-Conference September 20,2011. Susan Dickman, MSIT KS-EDSS Coordinator Kansas Dept of Health and Environment Bureau of Epidemiology & Public Health Informatics sdickman@kdheks.gov. What is Disease Surveillance?.

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Quest for Quality KPHA Pre-Conference September 20,2011

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  1. Quest for QualityKPHAPre-ConferenceSeptember 20,2011 Healthy Kansans living in safe and sustainable environments.

  2. Susan Dickman, MSIT KS-EDSS Coordinator Kansas Dept of Health and Environment Bureau of Epidemiology & Public Health Informatics sdickman@kdheks.gov Healthy Kansans living in safe and sustainable environments.

  3. What is Disease Surveillance? • Necessary for targeting public health efforts. • Cannot prevent and control diseases if: • We do not know which diseases are infecting people and • How often or where they are occurring. • Surveillance is the: • On-going • Systematic collection • Analysis • Interpretation and distribution of health data to describe and monitor health events. Healthy Kansans living in safe and sustainable environments.

  4. Performance Measures and Quality Indicators • What is a Performance Measure? • The specific representation of a capacity, process, or outcome deemed relevant to the assessment of performance. A performance measure is quantifiable and can be documented. • What is a Quality Indicator? • It is an agreed-upon process or outcome measure used to determine the level of quality achieved. Healthy Kansans living in safe and sustainable environments.

  5. PHAB Performance Measures Standard 1.2: Collect and maintain reliable, comparable, and valid data that provide information on conditions of public health importance and on the health status of the population. Standard 1.3: Analyze public health data to identify trends in health problems, environmental public health hazards, and social and economic risk that affect the public’s health. Standard 1.4: Provide and use the results of health data analysis to develop recommendations regarding public health policy, processes, programs or interventions. Standard 2.1.5 A: Monitor timely reporting of notifiable/reportable diseases, lab test results, and investigation results. Healthy Kansans living in safe and sustainable environments.

  6. Why Track Performance Measures in KS-EDSS? • Public Health Preparedness Capabilities • Capability 13 • Function 1: Conduct public health surveillance and detection • Function 2: Conduct public health and epidemiological investigations • Function 3: Recommend, monitor, and analyze mitigation actions • Function 4: Improve public health surveillance and epidemiological investigation systems Healthy Kansans living in safe and sustainable environments.

  7. Tracking Performance Measures • Performance quality • Timeliness indicators • Additional fields to be added to KS-EDSS • LHD Report Date • Case Creation Date • Investigation Start Date • Investigation Complete Date • Case Closed Date • Data quality • Quality Indicator Tracking Healthy Kansans living in safe and sustainable environments.

  8. Why Track Quality Indicators? • Improve individual investigation data quality • Better data for use in future projects • Send more complete picture of disease in Kansas to CDC • Determine how we can make KS-EDSS more user friendly Healthy Kansans living in safe and sustainable environments.

  9. Our Quest for Quality hits a Roadblock • KS-EDSS in 2007 • Four phases planned over 2+ years • Core infectious disease surveillance --> Fully integrated, modular system • Trouble • “Go live” five months late • Deadlines missed for key development milestones • Major functions never implemented • Vendor contract terminated July, 2009 • The intervening years • October, 2010 • Parts of TB-PAM inoperable Healthy Kansans living in safe and sustainable environments.

  10. Healthy Kansans living in safe and sustainable environments.

  11. Why Replace KS-EDSS? • System not user friendly • Continued in-house development, maintenance expensive • Still don’t have full functionality required by original project design • TB PAM continues to “limp along” • Questionable long-term sustainability Healthy Kansans living in safe and sustainable environments.

  12. Comparison of KS-EDSS & TriSano Healthy Kansans living in safe and sustainable environments.

  13. KS-EDSS vs. TriSano KS-EDSS TriSano • COTS • Hepatitis B perinatal not included in system • No ad-hoc forms • Limited case management • No contact tracing • ELR difficult to implement • No task/workflow • Limited data export • Limited reports • MOTS • Hep B perinatal included • Form Builder – ad hoc forms • Robust case management • Contact tracing & elevation • ELR 2.5.1 ready • Built in task and workflow • Data warehouse (AVR) Healthy Kansans living in safe and sustainable environments.

  14. Resolving KS-EDSS Issues KS-EDSS TriSano • Supplemental forms incorporated in core system • TB not a separate module – incorporated into core system • Form Builder – fix fields • AVR allows for much more complete data analysis and less error • Supplemental form errors • Issues with data not saving • TB PAM screen not functioning • Losing case because address change • Font small, difficult to read • Misspelling in fields • Report errors Healthy Kansans living in safe and sustainable environments.

  15. Quality Case Management with TriSano • Smart Search used to find individuals already in system • Demographic, clinical, laboratory, epidemiological and investigation data included • Contacts can be added • Notes and Tasks can be added, including repeating tasks • Files can be attached • Copying a case – either shallow or deep • Routing to a queue or individual investigator • Repeat encounters • Print, export or delete • Core Customizer to tailor • Form Builder for extensions Healthy Kansans living in safe and sustainable environments.

  16. www.kdheks.gov Healthy Kansans living in safe and sustainable environments.

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